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MC-13-0120Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 184573 Permit Number: MC -1 -13 -120 Scheduled Inspection Date: July 10, 2013 Inspector: Perez, JanPierre Owner: BENSON, ERIC Job Address: 361 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: HOME OWNER Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060135090 euncling Department comments ADD TWO DROPS TO FRONT PORCH AREA Infractio Passed Comments INSPECTOR COMMENTS False Q� I July 10, 2013 For Inspections please call: (305)762 -4949 Page 2 of 23 .y Inspector Comments Passed IV] Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 10, 2013 For Inspections please call: (305)762 -4949 Page 2 of 23 .y t% Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: MECHANICAL _ JOB ADDRESS �2( �® City: Miami Shores Folio/Parcel #: 1 I I �. Is the Building Historically Designated: Yes 1�p County: FBC 20to Permit Master Permit No. NO Flood Zone: Tenant/Lessee Name: Email: Qualifier Name: ® Phone State Certificati or Registration #: �1 �s� Certificate of Competency #: _ Contact Pho �/ !E�`Q Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ OD Square/Linear Footage of Work: Type of Work: ❑Address ` ❑Alteration ❑New l�pair eplace Description of Work: Pi_ If Hi Submittal Fee $ ,�U Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ _ Technology Fee $ 1�/ Q ❑Demolition Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IWROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issu In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. n� n Signa Signature ' ZW AA,—, Owner or Agent Contractor The for in instrument da , 20 2 before me this The ing instrument was acknowledg d before me this day o , 2 b��F who is personally known to me or who has produced expltw .. A S rrsNO Notary° v® ®m Structural Review Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06110 /2009)(Revised 3/15/09) Clerk AAA MODERNA /R SALES - SERVICE - INSTALLATION1 INVOICE 901 PHIPPEN WAITERS RD. DANIA FL. 33004 web site www.aaamodernair.com PHONE # 954-921-4486 FAX # 954 - 362 -2369 e-mail sales@aaamodemair.com BILL TO: JOB LOCATION Eric Benson Eric Benson 361 Ne 102 Street 361 Ne 102 Street Miami Shores FL 33138 Miami Shores FL 33138 Home 305 - 759 -3069 Work 305 - 733 -2306 Home 305 -733 -2306 Work 305 -759 -3069 INVOICE # 0001045970 CUST # 0037147 PAGE # DATE 12/21/2012 QUAN LISTED BELOW IS THE DESCRIPTION OF WORK AMOUNT 1.00 Estimator Name: Angelo 1.00 Add 2 Drops To Front Porch Area. 2.00 New Cans 2.00 New Grills 2.00 New Flex 1.00 12 x 12 Return Grill 1.00 Cut Return Grill In 1.00 All Permit Fees Included. 1.00 All Carpentry, Drywall Patching, & Painting Is Not Included. 1.00 WARRANTY: ONE YEAR ON WORK PERFORMED. 1.00 TOTAL 1,000.00 TOTAL $1,000.00 PAID Check 6054 $250.00 BALANCE $750.00 FILTER SIZE X X INSTALLERS A/H S. # C/U S. # ACCEPTANCE OF THIS CONTRACT If we must retain attorney's to collect out invoices, we will be entitled to reasonable attorney fees, court cost and interest at the maximun rate permitted by law. The above prices, and conditions are hereby accepted. Seller is authorized to do the work as specified. Payments will be made as outlined above TERMS AND CONDITIONS: You are entitled Wan exact copy of the contract you signed. Goods sold and delivered to the name in this order shall remain the property of seller until the purchase price is paid in full Seller reserves the right to take possession of all equipment and materials upon default of payment. Service & Warranties: Al equipment & materials Installed by seller shall be guaranteed by the manufacture for a period of 1 year from data of installation unless otherwise specified. Labor required of replacement of defective parts or workmanship shall be furnished by seller free of charge for a period of 1 year from the data of installation, unless otherwise specified. Labor provided by seller in this period is from 8:00 am to 5:00 pm Monday through Friday and 8:00 am to 1200 on Saturday. We have weekend emergency service available Saturday from 1200 PM to 5:00 PM and Sunday from 9:00 AM to 5:00 PM. Coil cleaning, drain flushing, air filter cleaning, and existing electric breakers, fuses and wiring, is not covered under equipment warranty. Seller Is not responsible for any condensation or sweating problems that might occur to your existing ductwork and grills, and any dust accumulation or odors that might be expelled from you're ate unit and or duct system and any mold, mildew, or mold spores, due to sweating and condensation of your existing duct Customer is responsible to monitor drain lines after installation, to make sure that there are no water leaks coming from their alc unit Seller is not responsible for any water damage to walls, floors, ceilings, carpeting or any building material and for any mold growth from water leaks from drain pan over flow and roof leaks from mounted equipment all freon gas is not covered under m.f.g warranty "Note that Freon 22, 410, puron is not a part and Is not covered under warranty" I understand that Is is my responsibility to provide a property survey If required by the building department in order to obtain a building pemut I understand it is my responsibly to coordinate with AAA MODERN AIR for scheduling all permit inspections, and be at job address to meet all building Inspectors. Unless otherwise specified above, all Installation of replacement and new AIC systems will be installed, hooking up to existing electrical wiring and breakers, freon lines, drain lines, slabs, roof stands and supports, air handler platform boxes, condensate pumps, smoke detectors, fire dampers, thermostats, humidistars, ductwork, supply and return air grills. Due to your existing building construction and South Florida's high humidity and heat wave weather conditions, seller can't guarantee any particular cooling temperature. It Is recommended to set your thermostat at 78 degrees for maximum savings on electric usage. Temperature set below could result in your air conditioning system to run for extended length of time. Customer Print Na �-� Salesman Name " Customer Signa r Date 1#44 A/C CONTRACTOR: AAA MODERN AIR 901 PHIPPEN WAITERS RD. DANIA FL. 33004 PH. #954 - 921 -4486 FAX # 954 - 926 -5469 CAC1813234 JOB INFO: BENSON 361 NE 102 ST MIAMI SHORES, FL 33138 SCOPE OF WORK: ADD TWO r -6 6" DUCT SUPPLIES TO EXISTING DUCT WORK. HOOK UP TO EXISTING DUCT WORK AND A/C SYSTEM. 1 * &fflI: ":1oll 4 EXISTING DUCT SYSTEM I I I 1 1 I I I A/C CONTRACTOR: AAA MODERN AIR 901 PHIPPEN WAITERS RD. DAN IA FL. 33004 PH. #954 - 921 -4486 FAX # 954 - 926 -5469 CAC1813234 JOB INFO: BENSON 361 NE 102 ST MIAMI SHORES, FL 33138 SCOPE OF WORK: ADD TWO r -6 6" DUCT SUPPLIES TO EXISTING DUCT WORK. HOOK UP TO EXISTING DUCT WORK AND A/C SYSTEM. EXISTING HOUSE EXISTING DUCT SYSTEM I 1 1 I I 1 1 I ats I BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100. Ft. Lauderdale, FL 33301 -1895 — 954 - 8314000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 3603, 2013 DEW Receipt MODERN AIR CONDITION= �Ipt�'HRATING /AIRCONDITION Cob Business Name. Business Type: (CLASS 8 A/C CONTRACTOR) Owner Name:BALVATORE F DIFLORIA Business Opened:07 /16/1993 Business Location: 901 PHIPPEN RD State /COunty1CerUReg:CAC1813234 DANIA BEACH Exemption Code: Business Prone: 921 -44 86 Rooms Beads ffmtoyeas 1 w+Ines P ro fessioa 2 For V"fiq S uss Only lax MWW TmWer Fee NSF Fee P*mny '1_ Prime Years CogWon Cost 27.00 0.00 0.00 0100 0.00 0.00 nd THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is lever for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet an County andior Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have rnoved dme business Nation. This receipt does not indicate that the business is legal or that It is in compliance with State or local laws and regulations. Malgng Address: SALVATORE F DIFLORIA ReceiPt 63OA -11- 00002556 901 PHIPPEN RD Paid 07/06/2012 27.00 DANIA. FL 33004 2012 -2013 It AAAMODE -01 JCHOLMINOM CERTIFICATE OF LIABILITY INSURANCE �1rs112013 T1418 CERTIFICATZ IS ISSUED AE A MATTR'R OF INFOAIMATION ONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATE HOLD&K THIS BELT OW. THIS CER11FICA E OF INSURANCE DOBs N�OTLCONI CONSTITUTE A CONTRACT BETWEEN THE ISSUINfi NSURER(SL AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT,, If the certificate holder Is an ADDITIONAL INSURED, dre pencyp") must be endorsed. If SUBROGATION 18 WAIVED, subled In the terms and conditions of the policy, certain Pollcles njoy require on srldomomgmt. A statement on this certffrcab does fiat confer dghb to the certlflem holder In lieu of such sndorssnrent s> WOUCER Bonnie Marrltt alllnsw ordl, Alter, Lambert, LLC 68ij 776.8101 Ne: iE�►'1 �F27'IiT31� 1 , ganfuslrse stmt A tnYrr ftt atlalC.cam WIN 102 f pller, FL 33�f77 tNSusleAls! Arr'aRirIN9 NAas r k INBUMMA :AMM ISUre MUM] Ins CD 23390 IsURao I INGUNINI s:AmerIOUrS In*UrB IC* Oo 4948E AAA Modern Alr Condfdonlnp, Ina. 901 Phlppon Winters Road Dania, Fl. 33004 comFICATE NMAYYSSEISISSUED OR ANY MAY PERTAIN, THE INSURANOI= AFFORDED BY VE POUC EI S �DESCRIE EKCLUaloNs AND CONDITIONS OF SUCH POLICIES. LiRnlTs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ALWL R T1TaOErrAtlOa —�INHR I RCNOYNUNaLR BQMUL UARIUrf k X I COUAniRt & EWER UAEILITY owe T ocam umrr APPLIES POW. OCCUR axer,as URN irse12aIS 1129/2044 112WZ013 112126=13 AND 'LIAISM Y)N 0208143500 311/2012 3MI2043 B QF PROi�UfiTU TW1RM ECUTNB U I A all isphoeTh, NN) D Rti,TIDN ppERATILr�, b1I4w anafflpm or OPGRATlon t WQkTIW8 ! VMGL0 (At ah ACUND i 09, A,Fd WAI Rwmdm 116WL a, M man owe in nwIrw* O7Q43. Wsfr��Alr btgub�rog o o :pp keto goner 1'li dab' g� 2 wAoio Illaa ift when required lured by wrKW Cow dI MOM Shoron Village 1000 NE 2nd Avenue Mleml Shoree, FL 33138 ACORD 25 (20101011) U raw Fw e IED NAMED AWWE FOR THE POLICY PERIOD ! OCIOUMENT WITH RESPECT TO VVKCH THIS ED HEREIN 117 SLIILIECT TQ ALL THE TERMS, UwM AUrorlOVULIAMU "P 8 X AW AUTO s 11I0,0Q0 58r ED SCIiEAt LW HPEb AMOS NM OCCUR axer,as URN irse12aIS 1129/2044 112WZ013 112126=13 AND 'LIAISM Y)N 0208143500 311/2012 3MI2043 B QF PROi�UfiTU TW1RM ECUTNB U I A all isphoeTh, NN) D Rti,TIDN ppERATILr�, b1I4w anafflpm or OPGRATlon t WQkTIW8 ! VMGL0 (At ah ACUND i 09, A,Fd WAI Rwmdm 116WL a, M man owe in nwIrw* O7Q43. Wsfr��Alr btgub�rog o o :pp keto goner 1'li dab' g� 2 wAoio Illaa ift when required lured by wrKW Cow dI MOM Shoron Village 1000 NE 2nd Avenue Mleml Shoree, FL 33138 ACORD 25 (20101011) U raw Fw e IED NAMED AWWE FOR THE POLICY PERIOD ! OCIOUMENT WITH RESPECT TO VVKCH THIS ED HEREIN 117 SLIILIECT TQ ALL THE TERMS, UwM EACH 2, Or REINL' $ l Ioaa,lloa KrNT re1�3ta E. T m s 11I0,0Q0 iur:u0N& & ADV INJURY 1,aaa,oa MWwALAGGREGATE # 2X0,00 PNODUCTS.COMPMPA40 4 2,aoo,aso MENKLM e.n I t i,+xlloD,aa SOILY INJURY (Pa pecan} a PODILY INJURY (Ra mWW4 1 # et PIP-Baslt EACHODCURRENCG I AGOREGATG # # E.L. EACH ACC IOW $ 4,000,0aQ E.L. QI; - EA EMPLOYEE # 1,oaD,00d EL. DISEA= -P0UCN 1UW s 1,f300,000 lait�yy per OW045 and aauto ItebllitV pa CAT1T1 , wren rsgalred by I(c n ct per iot lanea0allon perVo Y SHOULD ANY OF TMM ABOVE wxc1dBED POLIMES BE CANCELLED SORE THE EIIPRIIATION DATIS THEREOF, NVIVE Ve1LL N DIiLIVERED'IN ACCORDANCE WITH THE POLICY PROMION9. AUTNQrdxEDATIYi 4 40 i9e8 -2010 ACORD The ACORD name and Iona are mplstwW marks of ACIOF40 All 421118 realaved. To: Arland Pa9O 2 or 3 a0'13 -02 -20 02:46:34 (C3MT) '13053579333 From: Gonni® Bannon STATE OF FLOW -'X DEPAR""" Oil' 8U3INBSS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROG STREET (850) 487 -1395 TALLA>t;ASSEE FL 32399 -0783 DI FLORIA, SALVATORE AAA ODU AIR COADITIONING INC DO�� r� WAZTVRS ROAD FL 33004 F#or�dian� y ��= �e of the nearly one million OeParta►ent of Business and Pro#essionaI Regulet%. : Aur Professl0nals and businesses range from ardtlters to y brokers. from l boners to b�►We reslsurartis. and they keep Ft0►ida's economy sag. i e!Y �Y we tiro td Improtre the way we do business in order t0 serve you better.'. rn ° YOU °n a ° .Muse tog on#0 www.my#torfdalicense com• t P Y°u• an "Mrs ktfor�t�n about our dlvisions and the regulations that ` wua . �Oarbnent newsletters and learn more about the Out mission at the qty► strive to Department i': t•'i�ne Pnt�r. Regulate Fairly, We ttt�ik You for you better so that you can serve your custottem doing busirtass In Florida, and con"tu"orts on your new license! n ='Tnnu ..-- - sirnt o Flo ACA: 13.1V?OBE � R�,L, CAC1813234.:.l'' 3 r•�$2 116011504 CERTIFIED »-w DI FILO AAA - MOD 3' ONING INC I3 CERTIFIED under the provision of ch.489 rs supsweaen "t JLVQ 31. 2014 L120S3101424 i'1S�',aR OF HU INESS AND BR F SSI STRD'CT Ow rtsr..,c%*". "P s0_9 -...__ QXAL REC2t7r.>,rsnw* I 33004 RICK SCOTT GOVERNOR KEN LAWSON